Does Priority Health require prior authorization for Dificid?
Priority Health does not require prior authorization for Dificid on the Medicare Part D plans that cover it.
No covering plan from this payer files a prior-authorization requirement for this drug.
- No prior authorization is filed, but step therapy applies on 37 of 37 covering plans — the plan requires another drug be tried first.
By product strength
| RxNorm product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| fidaxomicin 200 MG Oral Tablet [Dificid]1111110 | 37 / 37 | 0 | 37 | 37 | No prior authorization |
| fidaxomicin 40 MG/ML Oral Suspension [Dificid]2279847 | 37 / 37 | 0 | 37 | 37 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — fidaxomicin 200 MG Oral Tablet [Dificid]
Dificid has 2 products in the corpus; this table is for fidaxomicin 200 MG Oral Tablet [Dificid], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| PriorityMedicare (HMO-POS) | H2320-028 | 5 | No | Yes | Yes |
| PriorityMedicare (HMO-POS) | H2320-028 | 5 | No | Yes | Yes |
| PriorityMedicare (HMO-POS) | H2320-028 | 5 | No | Yes | Yes |
| PriorityMedicare (HMO-POS) | H2320-028 | 5 | No | Yes | Yes |
| PriorityMedicare (HMO-POS) | H2320-028 | 5 | No | Yes | Yes |
| PriorityMedicare Edge (PPO) | H4875-020 | 5 | No | Yes | Yes |
| PriorityMedicare Edge (PPO) | H4875-020 | 5 | No | Yes | Yes |
| PriorityMedicare Edge (PPO) | H4875-020 | 5 | No | Yes | Yes |
| PriorityMedicare Key (HMO-POS) | H2320-022 | 5 | No | Yes | Yes |
| PriorityMedicare Key (HMO-POS) | H2320-022 | 5 | No | Yes | Yes |
| PriorityMedicare Key (HMO-POS) | H2320-022 | 5 | No | Yes | Yes |
| PriorityMedicare Key (HMO-POS) | H2320-022 | 5 | No | Yes | Yes |
| PriorityMedicare Key (HMO-POS) | H2320-022 | 5 | No | Yes | Yes |
| PriorityMedicare Merit (PPO) | H4875-016 | 5 | No | Yes | Yes |
| PriorityMedicare Merit (PPO) | H4875-016 | 5 | No | Yes | Yes |
| PriorityMedicare Merit (PPO) | H4875-016 | 5 | No | Yes | Yes |
| PriorityMedicare Merit (PPO) | H4875-016 | 5 | No | Yes | Yes |
| PriorityMedicare Merit (PPO) | H4875-016 | 5 | No | Yes | Yes |
| PriorityMedicare Smart Savings (HMO-POS) | H2320-032 | 5 | No | Yes | Yes |
| PriorityMedicare Smart Savings (HMO-POS) | H2320-032 | 5 | No | Yes | Yes |
| PriorityMedicare Smart Savings (HMO-POS) | H2320-032 | 5 | No | Yes | Yes |
| PriorityMedicare Thrive (PPO) | H4875-024 | 5 | No | Yes | Yes |
| PriorityMedicare Thrive (PPO) | H4875-024 | 5 | No | Yes | Yes |
| PriorityMedicare Thrive Plus (PPO) | H4875-018 | 5 | No | Yes | Yes |
| PriorityMedicare Thrive Plus (PPO) | H4875-018 | 5 | No | Yes | Yes |
| PriorityMedicare Thrive Plus (PPO) | H4875-018 | 5 | No | Yes | Yes |
| PriorityMedicare Thrive Plus (PPO) | H4875-018 | 5 | No | Yes | Yes |
| PriorityMedicare Thrive Plus (PPO) | H4875-018 | 5 | No | Yes | Yes |
| PriorityMedicare Value (HMO-POS) | H2320-029 | 5 | No | Yes | Yes |
| PriorityMedicare Value (HMO-POS) | H2320-029 | 5 | No | Yes | Yes |
| PriorityMedicare Value (HMO-POS) | H2320-029 | 5 | No | Yes | Yes |
| PriorityMedicare Value (HMO-POS) | H2320-029 | 5 | No | Yes | Yes |
| PriorityMedicare Value (HMO-POS) | H2320-029 | 5 | No | Yes | Yes |
| PriorityMedicare Vintage (HMO-POS) | H2320-031 | 5 | No | Yes | Yes |
| PriorityMedicare Vital (PPO) | H4875-022 | 5 | No | Yes | Yes |
| PriorityMedicare Vital (PPO) | H4875-022 | 5 | No | Yes | Yes |
| PriorityMedicare Vital (PPO) | H4875-022 | 5 | No | Yes | Yes |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
We publish the hash of the exact file we ingested so any answer can be audited against the bytes CMS served that day.
Dificid at other payers
Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.